The Outpatient Ophthalmic Surgery Society conducted a survey of intraocular lens procedures in an ASC setting and published the results in The Ophthalmic ASC.
The survey gathered results from 146 surgeons, administrators, directors of nursing and other ASC leaders about how IOLs are used in their facilities. The key findings include:
1. The highest volume procedures are:
• Cataract removal/IOL implantation
• Glaucoma procedures
• YAG laser capsulotomy
2. Monofocal IOLs are most commonly used at ASCs. Here is a breakdown of the IOLs implanted over the past year:
• Monofocal: 75.24 percent
• Toric: 11.8 percent
• Multifocal: 8.04 percent
• Extended depth of focus: 3.46 percent
• Accommodating: 1.9 percent
3. Around half — 52.4 percent — of the respondents said multifocal usage increased over the past year; 9.7 percent reported usage decreasing and the remaining respondents said usage at their center remained the same. The survey also monitored accommodating usage, which 10.7 percent said increased and 30.3 percent said decreased. Toric use increased for 56.5 percent of the centers and decreased among 2.4 percent of respondents.
4. The factor that most influenced the choice of a monofocal lens was cost; the other two most important factors were availability and familiarity. On the other hand, when choosing premium IOLs, the respondents said the most important factor was providing new technology.
5. The preferred options for cases in the ASC when the patient has astigmatism between 1.25D and 1.5D were:
• Toric IOL: 77 percent
• Femto LRI: 31 percent
• Manual LRI: 11 percent
• Other: 5 percent
6. The preferred options for cases in the ASC when the patient has astigmatism between 0.75D and 1.25D were:
• Femto LRI: 48 percent
• Manual LRI: 35 percent
• Toric IOL: 28 percent
7. Almost all — 95 of the 146 respondents — said their centers introduce patients to all of the premium IOLs on a regular basis. Forty-four of the respondents said they selectively introduce patients to premium IOLs. All but 12 of the respondents said they had tiered pricing.